Provider Demographics
NPI:1770909541
Name:NURSECARE HOMEHEALTH LLC
Entity type:Organization
Organization Name:NURSECARE HOMEHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:N
Authorized Official - Last Name:NGETHE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-975-0654
Mailing Address - Street 1:272 BROADWAY
Mailing Address - Street 2:UNIT 674
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-8000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:236 PLEASANT ST
Practice Address - Street 2:2ND FLR
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-7135
Practice Address - Country:US
Practice Address - Phone:978-975-0654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2274144251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health